Literature DB >> 17356348

Blood pressure variability and dementia rating scale performance in older adults with cardiovascular disease.

Therese Anne Keary1, John Gunstad, Athena Poppas, Robert H Paul, Angela L Jefferson, Karin F Hoth, Lawrence H Sweet, Daniel E Forman, Ronald A Cohen.   

Abstract

OBJECTIVE: The present study examined the relationship between multiple indices of blood pressure (BP) and cognitive function (as measured by the Dementia Rating Scale).
BACKGROUND: Cardiovascular disease (CVD) is associated with cognitive dysfunction and cerebrovascular pathology in the elderly and is a known risk factor for stroke and Alzheimer disease. Yet, the mechanisms for the effects of CVD on cognitive function are not well understood.
METHODS: Participants were 97 nondemented older adults with CVD who underwent neuropsychologic assessment, and a 2-hour cardiovascular laboratory protocol.
RESULTS: After controlling for age and years of education, results of hierarchical linear regression analyses indicate a significant positive relationship between a function of BP variability (SD of systolic BP divided by the average diastolic BP) and cognitive function (R change=0.042, F (1, 85)=5.434, P<0.05). No relationship emerged between any other BP index and cognitive function.
CONCLUSIONS: Contrary to expectations, greater BP variability was associated with better, not poorer, cognitive test performance. These findings suggest that the relationship between BP and cognitive function is more complicated than originally conceptualized and requires further investigation.

Entities:  

Mesh:

Year:  2007        PMID: 17356348     DOI: 10.1097/WNN.0b013e3180335f9f

Source DB:  PubMed          Journal:  Cogn Behav Neurol        ISSN: 1543-3633            Impact factor:   1.600


  6 in total

1.  Cardiac output, blood pressure variability, and cognitive decline in geriatric cardiac patients.

Authors:  Ozioma C Okonkwo; Ronald A Cohen; John Gunstad; Athena Poppas
Journal:  J Cardiopulm Rehabil Prev       Date:  2011 Sep-Oct       Impact factor: 2.081

2.  Blood Pressure Variability and Cognitive Function Among Older African Americans: Introducing a New Blood Pressure Variability Measure.

Authors:  Siny Tsang; Scott A Sperling; Moon Ho Park; Ira M Helenius; Ishan C Williams; Carol Manning
Journal:  Cogn Behav Neurol       Date:  2017-09       Impact factor: 1.600

3.  Sex and Age Differences in the Association of Blood Pressure and Hypertension with Cognitive Function in the Elderly: The Rancho Bernardo Study.

Authors:  D Kritz-Silverstein; G A Laughlin; L K McEvoy; E Barrett-Connor
Journal:  J Prev Alzheimers Dis       Date:  2017

Review 4.  Blood Pressure Variability and Cognitive Function: a Scoping Review.

Authors:  Nur Fazidah Asmuje; Sumaiyah Mat; Phyo Kyaw Myint; Maw Pin Tan
Journal:  Curr Hypertens Rep       Date:  2022-06-22       Impact factor: 4.592

5.  Association Between Blood Pressure Variability With Dementia and Cognitive Impairment: A Systematic Review and Meta-Analysis.

Authors:  Rianne A A de Heus; Christophe Tzourio; Emily Jo Lynn Lee; Melissa Opozda; Andrew D Vincent; Kaarin J Anstey; Albert Hofman; Kazuomi Kario; Simona Lattanzi; Lenore J Launer; Yuan Ma; Rajiv Mahajan; Simon P Mooijaart; Michiaki Nagai; Ruth Peters; Deborah Turnbull; Yuichiro Yano; Jurgen A H R Claassen; Phillip J Tully
Journal:  Hypertension       Date:  2021-09-20       Impact factor: 9.897

6.  Longitudinal cognitive performance in older adults with cardiovascular disease: evidence for improvement in heart failure.

Authors:  Kelly M Stanek; John Gunstad; Robert H Paul; Athena Poppas; Angela L Jefferson; Lawrence H Sweet; Karin F Hoth; Andreana P Haley; Daniel E Forman; Ronald A Cohen
Journal:  J Cardiovasc Nurs       Date:  2009 May-Jun       Impact factor: 2.083

  6 in total

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